Individual
LISA BENNICK HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
855 MANKATO AVE, WINONA, MN 55987-4868
(507) 457-4345
Mailing address
855 MANKATO AVE, WINONA, MN 55987-4868
(507) 457-4345
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
2465968
MN
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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